Individual provider Active NPI

Lynnda M Schiermann, PA-C

  • Medical Physician Assistant
  • Fremont, NE
National Provider Identifier
1306860895
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
323 Issued in NE
Practice address
350 W 23Rd St
Ste a
Fremont, NE 68025-2592
Phone
(402) 721-7077
Fax
(402) 753-6056
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 323 NE Primary

Addresses

Primary practice location

350 W 23Rd St
Ste a
Fremont, NE 68025-2592

Mailing address

PO Box 11724
Belfast, ME 04915-4008
Phone (402) 721-7077

Other identifiers 3

IdentifierTypeStateIssuer
37824OtherNEBCBS
10025238700MedicaidNE
P00243532OtherRR MR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040901000699 NE Practitioner - Physician Assistant 5092780031 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
323NEMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Fremont Health CurrentSince Oct 1, 2018 Accepting new patients
Physicians Clinic Inc CurrentSince Sep 21, 2020 Accepting new patients
Nebraska Methodist Hospital Current Accepting new patients
Geoffrey C. Basler, M.D. P.C. Past Accepting new patients

Locations

450 E 23rd St
Fremont, NE 68025
Phone (402) 721-1610

350 W 23rd St
Fremont, NE 68025
Phone (402) 721-2444

415 E 23rd St
Ste A
Fremont, NE 68025
Phone (402) 721-8960

2540 N Healthy Way
Fremont, NE 68025
Phone (402) 721-3133

350 W 23rd St
Ste A
Fremont, NE 68025
Phone (402) 721-7077

207 S Engdahl Ave
Oakland, NE 68045
Phone (402) 685-5683

825 S 169th St
Omaha, NE 68118
Phone (402) 354-3370

10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405

Interoperability endpoints

  • Direct secure messaging: lynnda.schiermann@direct.nmhs.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1306860895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11724",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154008",
            "telephone_number": "402-721-7077",
            "fax_number": "402-753-6056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W 23RD ST",
            "address_2": "STE A",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252592",
            "telephone_number": "402-721-7077",
            "fax_number": "402-753-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIERMANN",
        "first_name": "LYNNDA",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NE",
            "license": "323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "37824",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025238700",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MR",
            "identifier": "P00243532",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, NE

Sources for this page

Verify at the official NPI Registry.